Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $125.89 / $251.19	Professional	26	$83.18	$125.89	$251.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	26	$120.23	$120.23	$120.23
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $177.83 / $257.04	Professional	26	$87.10	$177.83	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $194.98 / $257.04	Professional	26	$109.65	$194.98	$257.04
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $165.96 / $269.15	Professional	26	$97.72	$165.96	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $114.82 / $218.78	Professional	26	$93.33	$114.82	$218.78